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HomeMy WebLinkAboutTR-10410A Glenn Goldsmith, President ®f S0��� Town Hall Annex ®� ®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski a Southold, New York 11971 Liz Gillooly � Telephone(631) 765-1892 Elizabeth Peeples ® �® Fax(631) 765-6641 Ti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction u �us� ,fie. Fc�esT �•u.T � PcfR.Ar�r� When project complete, call for compliance inspection-, / IL Glenn Goldsmith,President o®F S®UjTown Hall Annex Q 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski J Southold,New York 11971 Liz Gillooly c/s Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 CUNT y 5� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10410A Date of Receipt of Application: June 13, 2023 Applicant: James A. Baker III SCTM#: 1000-117-1-12 Project Location: 1475 Grathwohl Road, New Suffolk Date of Resolution/Issuance: July 19, 2023 Date of Expiration: July 19, 2026 Reviewed by: A Nicholas Krupski, Vice-President Project Description: Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed; with the condition of the cutting of the Phragmites only, do not disturb the (Baccharis halimfolia). Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by James A. Baker, III, received on June 13, 2023, and stamped approved on July 19, 2023. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to provide the Trustees with before and after photos of the area within this time period before any further maintenance is conducted. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This isnota Bete mination from any other agency. A P icholas Krupski, Vice-President Board of Trustees Glenn iGoldsmith,President Tawii Hall Annex A.Nicholas Krupski,Vice President 54375;Route 25 Eric Sepenoski * P.O.Box 1179 Liz Gillooly �y • p�Y� Southold,NY 11971 Elizabeth Peeples �O1 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: � (�L-13 Completed in field by: JAMES A. BAKER III requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed, and to trim dead wood'\from trees, as needed. Located: across from 1600 Grathwohl Road, New Suffolk. .SCTM#: 1000-117-1-12 Type f area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Part of Town Code-proposed work falls under: Chapt.275 dhapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No ✓Not Applicable Info needed/Modifications/Conditions/Etc.: oy,, 4o icffi- Ar-All< °vimr� rJ YS Dec ,Pfu 4-,,, Present Were: G. Goldsmith /N. Krupsk! E. Sepenoski L. Gillooly E. Peeples rr - APP _B FAN1 3 2023 �ARD'CSF I RUSTEES OLP Project: Southold Town �—�-- Board of Trustees' T tx G ZO "it Area with phragmites & trees V Q. o Q 9 ¢ 'V � J S3 . ~O O OR lx h 0, CO o OGS in 12,527 S.F. U I I 0.288 Ac. Upland: 1000.-117-4-4 m J l 510520-W °z f` LAND NOW 151.45' z ` GLANDER 'RI), RLY OF r� V i Waterfront: 1000.-117-2-12 (0.1 Ac) ■ —DENOTES CONCRETE MONUMENT FOUND. 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BAY __ -- -- - _ pECONIC Y GREAT E � � _�_ W. tz�l — — -- �u �u __ �,,,� NoncE aw' COUNTY OF SUFFOLK © E SouTxoLo SECTION NO G Real Property Tax Service Agency r N - -_ zF 117 ,tw �' cs P rmn xo 1000 nzi N9 — PROPERTY rMP r-- OFFICE LOCATION: O��rjF SOUryQI MAILING ADDRESS: Town Hall Annex O P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) N Southold,NY 11971 �Q Telephone: 631765-1938 olyOwn LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 12, 2023 Re: LWRP Coastal Consistency Review for JAMES A. BAKER III SCTM#: 1000-117-1-12 JAMES A. BAKER III requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed, and to trim dead wood from trees, as needed. Located: across from 1600 Grathwohl Road, New Suffolk. SCTM#: 1000-117-1-12 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney "...; Glenn Goldsmith;Presidents � "':`.'.,,r. Town Hall Annex" . 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric SepeiioskiSoubhold,New York 1"1971 Liz:Gillooly a Telephone(631).765=1892. Elizabeth Peeples_ . ` Fax(631).765-6641 BOARD.OF TOWN TRUSTEES TOWN OF.SOUTHOLD This Sechon For Office Use Only Coastal Erosion Permit Application ID) I V E Wetland Permit Application �-Administrative Permit JUN .3 Amendment/Transfer/Extension 2023 " Received Application:.. Received"Fee:$ ZW. southoiaTown Completed Application: •�3.2 9oardOftrustees Incomplete--... SEQRA Classification: Type I "Type II Unlisted"_. ..Negative Dec. Positive Dec. Lead Agency Determination Date: oordination:(date sent): .. LWRP Consistency Assessment Form Sent:: CAC Referral Sent:. Date of[nspection: -71 �i�� Receipt of CAC Report: - _ Technical Review: Public Hearing Held Resolution: Owner(s)Legal Name of Property. (as shown on Deed):. AlCL�2 Mailing Address: f, 16O1c !�3 1 e. A�IC :.�. o SLC X .V"" 19 5r,,Phone Number: Suffolk County Tax Map Numbev.,1000- Property Location l 0o �m � (D Gok( & 17 Cross Q& . ... . :. . ......... _. (If necessary,provide LILCO Pole#; distance to cross streets, and location) AGENT(If applicable): Mailing Address:.. Phone Number: Email;. Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: .. �S ivt Previous use of property Qnd eu A-0 p-Q-A property! .., C 10�4a.. .C�:h.� Intended.use ofo Covenants and Restrictions on property.? Yes _. No If"Yes'; pleaseprovide a copy: Will this project require a Building Permit as per Town Code? A Yes �o If"Yes",.be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans:will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes �_No If"Yes", please provide copy.of decision. projectre any demolition as per.Town Code oras determined by the Building Dept.?. Yes No Does the structure(s) on'property have a valid:Certificate of Occupancy? Yes.=_No IA: Vb s{�ecc cry Prior permits/approvals,for..site improvements: . Agency Date ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?-a No_E] Yes If yes,provide explanation:.. f Project Description(use attachments if necessary):: gem-.. .►^nain tehuvtc� �zrmv� u o ' d� �La nt� Cc 'Jh rCs . Mt s Z. as n . -(^-Ln\ +j&366,&.. .� Boardof ,;Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose o f the proposed"operations: • pp 1 Pf Gb R9X S�ics'r .. So l lS Area of.wetlands on lot: .CPp 1b K; 5 square.feet' Percent coverage of lot:reonm& Closest distance.between nearest:existing structure and upland edge-of wetlands: .:N�":. feet. no:S�c�er.es Closest distance between nearest proposed structure and upland:edge of wetlands:._Kfeet: Does,the project involve:excavation'or'fill ing? No Yes If Yes,how much material..will be excavated? ___cubic yards. How much-material.will be filled? ... cubic yards. Depth of which material will be removed or deposited: -:.. :..feet -Proposed slope throughout.the area of operations: Manner in which.material wi11 be:removed.or deposited: Statement:of the"effect;'if any,on the wetlands and tidal waters.of the town m that ay result:by;. reason.of such`proposed,operations (use attachments if-appropriate): �. l 9 Board of Trustees' Applicaton :AFFIDAVIT ..... ....... .. .., BEING:DULY SWORN: DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBEWPERMIT(S)AND THAT.ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF.-HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND.AS MAY BEAPPROVED..BY THE SOUTHOLD,TOWN-BOARD OF.:TRUSTEES. THE APPLICANT AGREES TO'HOLD THE.TOWN OF SOU.THOLD AND_THE BOARD OF TRUSTEESMARMLESS AND FREE.FROM ANY AND ALL DAMAGES AND.CLAIMS ARISING UNDER OR BY.VIRTUE OF SAID PERMIT(S),IF . GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE<THE TRUSTEES,THEIR AGENT(S)'OR`REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY`PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, , INCLUDING A.FINAL INSPECTION.`I FURTHER AUTHORIZE THE.BOARD.OF TRUSTEES TO ENTER ONTO.MY PROPERTY AND.AS REQUIRED TO:INSURE COMPLIANCE.WITH ANY CONDITION OF ANY WETLAND'OR:COASTAL. EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES'DURING THE TERM OF THE PERMIT. r Signa of.Property Owner. Signature:of Pro'perty..Owner. SWORN TO BEFORE.iV1E THIS.._.: ./3 . ..DAY OF ate ,:20._Z. - .,_ i Notary Public JOHN A. MAKI Notary Public-State of New York No.01 MA6164838 Qualified in Suffolk County My Commission Exp.04/30/202.7 i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL:DISCLOSURt.FORM h .Tow ut old. a E'tliic` bit rc fin .o e se.ofr . `this foitn is ta.tarovide:informaiionwhich:can alert'he."own o ssible conflicts'of'merest and-a foWi`it to to,e.whaEewraction is necessary to ayordsaines; pp ,.E olio. i '� . .� ....:-. .. : .. .::.:...... ...ice ' YOURNAME La (` st:name;first name;rpiddle initial,unless you are:applying in the name of someone else.or other entity;such as a company:If so;indicate the:other person's.or company's name.)': <. NAME'QFAPPLICATINCheck all thata l .).O Tax:grievance Building Variance` Trustee Change of.Zone Coastal Erosion. Ap prove!of plat "..: .. :. :.. .` :: : Mooring . .,. Exemption from.plat or official.inn . Plannin Other`: (if"Other";nam'a the activity:) Do' ou: rsdrmh;(or throw y >� y gh:yot�Fpompany,spouse;s�liling;.pruent.of:chrfii).liave a.rclatlonship with anyoffiaerAr'employeir .:..: of'the Town.o€Southold? 'Relationship'.'includes liy:blopd;inarriiige,nr business:intarast ``Business interest"meansa:busines4.. including a partnership,in which the:toWn rifficer.or em to ce has:even a attial ownerslii of(or em to . erit , )a c ration P_ Y. R. P p. Yin by �. m;which the fawn otiicar or employee owns more thon.5°/aof the shares YES n NO �. . If you answered"YES..",comptete,the balance of this form and date and sign where indicated:.; Name of person employed by the.Town of Southold. . Title or position of that,person Describe the relationship,between'yourself(the applicant/agent rdpieseptative)and the town offtcer,or employee.Either check the appropriate line A)through D)and/or.describe in the space provided.. The townotliceror.employee or or her spouse,sibling,parent,or child,is(check al(that,apply): i : . A)the,ownerof greatcr:than mof thc-shares of the cot;xlrata stock:of the appiic pf (when:the applicant is a coxporation); B)the legal or benef ciaf owner'of airy interest in a_non�cpipoi9d entity.(ivhen the aPPicant isnot a corporation):: - ': C)an officer,director,partner,or employee of the applicant;or D)the:actual applicant : DESCRIPTION OF RELATIONSHIP . 0 Submitted thi .: ay of.``J.��`' 2. . Signatu r ,a 1? riot Name.... Form 617.20 Appendix B Short Environmental Assessment Form Insfruc 0 far.Cornlileting Part I--Project Information. The applicant or project sponsor is responsiblefor the completion of Part 1..Responses become part of the application forapproval or funding,are subject to public review,and may:be subject to further verification. Complete Part 1 based on information currently,available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete,.all items in Part 1. You may also provide anyadditional:information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement anyJ em. Part I -Pro'ect and Sponsor Information Name of Action or Project: W in.17ai In �!2 e�E'G-hon: ori sfno rQ Ccs. Project Location(describe,and attach a location map): f CoCO.C9t (n .ad.( . .f acv «� . ... .. ; .:Brief Description of Proposed.Action: Cd Lr&v- . �.. rr,¢ �W+f AQ �V -,Eb r hca,,,4 Cd' plyMc MAAAs 4-0Lk Name of A licant or Sponsor: Tele hone: 5 .27. . ; : . E- Mail:: .Address: p, ©. .b®VC.J City/PO? State:.. . Zip.Coder ,.. . S 77 .Does.the proposed action only'invoive the legislative ad UOn of a plan,local law,ordinance; NO YES:` administrative rule,or regulation? If Yes;attach a narrative description of the intent of the proposed action and the environmental resources.thatIF may be affected in the municipality,and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit;approval or funding from any other governmental Agency? ` NO YES If Yes,list agency(s)name and permit or approval: 3.a:Total acreage of the site of the proposed action? C3« acres b.Total acreage to be physically disturbed? . acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor'? ®.. _ acres 4.' Che I land m at occur on,adjoining an ar the propq=4 action: Urban Rural(non-agriculture) _ Industrial Commercial ®Residential(suburban) Forest ❑Agriculture Aquatic QOther(specify). Parkland Page.11 of 4 5. I's the proposed action, NO YES: N/A. ' a.A permitted use under the zoning regulations?. b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO..:::..YES .. landscape? 7:":Is the site of theproposed action;located in,or does.it adjoin,a state listed;Critical Environmental.Area? NO. : YES If Yes,identify;. .: ...... '8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO,. . ''.YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �(I ` 9.Does th'e proposed action meet or exceed the state energy code requirements? IYO... :YES::, If the proposed action will exceed requirements,describe design features and technologies 10. Will theproposed action connect to an existing public/private water supply? NO: YES If No;describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NQ . YES` If No,describe method for providing wastewater treatment:.. 12: a.Does the site-contain a structure that is listed on'eiiher the State or National Register of Historic NO• YES.I - Places b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action;oontain NO..:: :YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing"wetland or watdibody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:,. - ]��FEJ 14ntify.the typic bitai types that oc n,or are likely to be found on tt"roject site. Check all that apply:.. Shoreline Forest. Agricultural/grasslands LJ Early mid-successional Wetland Urban Suburban 15.Does the site of the proposed'action contain any,species of animal,'or associated habitats, listed NO : _YES by the State or Federal.govemment as threatened or endangered? 16:Is the project site located in the 100 year flood plain? .. NO. YES �1 17.Will'the proposed action create storm,;ZWdischarge,either from poipt,or non-poirit sources? NO.. . If:Yes, a. Will storm water discharges'flow to adjacent properties? :0NO ES ❑ . E b.Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe.. 0 . YES Page 2 of 4 18:Does the proposed action include construction or other:activities that result in the impound ment of NO YES. . water or.'ther liquid_s(e:g:retention pond,waste lagoon, dam)? e:. purpose' If Yes,explain " and`siz ' r 19..Has the site"of the proposed action or an adjoining property been the location,of.an active or closed'" NO YES solid waste management facility? If Yes,ldescribe: ........ ..:... 20.Has the,site of the proposed action or an adjoining property been the,subject of remediation(ongoing or NO ,;YES :completed)for hazardous waste? If Yes,describe: I AFFIRM:THAT THE.INFORM"ATION.PROVIDED ABOVE IS TRUE:AND ACCURATE TO THE BEST OF MY. KNOWLEDGE Applicant/sponsor amDate: Signature: :." Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part-I and other materials submitted by the project sponsor or otherwise:available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" :No,or Moderate_ small to large s impact impact, may .. may occur. occur 1.. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. W ill the proposed action result in a change in the use or intensity.of use of land? 3. Will the proposed action impair the character or quality of the existing community? [� 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? i 6.. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities. ®' 7. Will the proposed action impact existing: a.public/.private.water supplies?. " b:public/private wastewater treatment,utiIities? 8. Will the.proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources?, [_J " a 9. Will the proposed action"result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and.fauna)? Page 3 of 4 No,,or Moderate small to large AM pact impact may. . may, OCC ur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage .problems? !^rJ: k Jr 11. Will the proposed action create,a hazard to environmental resources or human:health? �. Part,3 Detertnination of significance. The Lead Agency is responsible for the completion of Parti. For every question in:Part2 that ww:answered"moderate to large impact may occur",or if there is a need to explain why,a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part.3. Part 3 should,in sufficient detail,identify the impact,including any measures.or:design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead:agency determined that the.impact mayor will not be significant.Each potential impact should be assessed considering its setting;probability of occurring, duration,,irreversibility,geographic scope and magnitude.:.Also consider the potential for short,term,long-term and cumulative;impacts: Check this box if you have determined,based on the information and.analysis.above,and any supporting documentation, ` .that the proposed action may result in one or more potentially large.or significant adverse impacts and:an environmental impactstaterrient is.required. QCheck this box if you:have determined;based on the information and analysis above,and any supporting documentation,. that the proposed action will not result in any significant adverse environmental impacts. Towri,of Sopthold 13oard of-Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible..Officer Signature of Responsible Officer in Lead Agency Signature.of Preparer(if different from Responsible Officer). PRINT Page 4'of 4 Town of Southold LWRP CONSISTENCY ASSESSMENT`FORM:. A. INSTRUCTIONS 1. All applicant§:`for permits* including Town of''Southold agencies; shall complete:this: CCAF'for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law..This assessment 'is intended,to supplement other information used .by a Town of Southold agency in making a,:determination of consistency. *Excepf.minor:'exempt actions including Building Permits andoth*er.,-?hinis,tetialpermits not located within the Coastal Erosion Hazard Area. 2. Before answering:the;questions in Section C, the preparer of this form.'should.review the exempt. .- minor'action list;.policies and,explanations of each,policy_contained in the Town:of Southold Local Waterfront Revitalization ,Program:, A.proposed actaon:'will `be evaluated. as to its si i1F beneficial:and adverse effecfs upon the coastal area(wh:ch includes a-.of SoutholdTown): 3. : If any question:in.Section C on.this'form is:answered "yes .or "no", then'the proposed action will affect the achievement' of the LWRP policy standards and conditions contained in the consistency : :. review law.`;Tltus each;::aristvor':must":.be'a lamed ' etail aistin both su oirfin :dna non sunuorEins factsa If a n.action,cannot be,certified'as consistent.wit 'the LWRP policy standards and conditions;it shall-not be`uudertaken: A copy of:the LWRR is:available in'the following places:.online.at.the Town.of Southold's website(southoldtown:northfork.net), the Board of Trustees:Offce the:Planning:Department; all" local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE;AND PROPOSED ACTION onooi. rA PROJECT:NAME mail ltc The Application has been submitted,to(check appropriate response): Town Board ❑ Planning.Board ElBuilding Dept. Board of Trustees:: y ( PP -: nate response)-. 1: Category of Town of Southold agene action,check�a rop Action%dertaken directly by Town agency(e.g.capital'.. �. construction,planning activity,agency regulation,land.transaction) a (b) Financial assistance '(e.g.grant,loan,subsidy) (c) >: Peririit;approval;license;:certification: Nature and extent of action: TO wna� a, +P P n J . Location of action: tC"DCO �W- kwo r G4 �C. LL9 Site.acreage: Present land use:. . Present zoning classification: .2. If an application for the proposed action'has been filed with the Town of Southold agency, the following information shall be provided: (a).Name of:applicant; (b) Mailing address: ® K T (c) Telephone number: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes,0 No® If yes,which state or'federal agency? C. Evaluate the.project to the:following policies by analyzing how the project will further support or. not support the policies. Provide.all proposed Best Management Practices that willfurther"each policy. Incomplete answers will require that the form be returned for completion:` DEVELOPED;COAST POLICY Policy 1. Foster a pattern of development in.the.Town of Southold_that enhances community character, preserves open space, makes efficient use of infrastructure, makes:beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No [5k].NotApplicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources-of the Town of Southold. See LNVRP.Section'III—Policies Pages 3 through 6 for evaluation criteria Yes'.❑_No Not Applicable Attachadditional sheets if necessary Policy 3. Enhance visual quality..andprotect scenic resources throughout the Town of Southold. See LWRP-Section III Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach ad onal:sheets if necessary NATURAL.COAST.POLICIES : Policy 4. Minimize loss of life, structures, and natural resources-from flooding and erosion. See LWRP Section III—.Policies.Pages 8 through 16 for evaluation criteria Yes I,No ❑`Not Applicable �r AftachYadditional sheets if necessary Policy 5. Protect and.improve water quality and supply in the Town of Bouthold.:See LWRF Section III —Policies Pages 16 through 21 for evaluation criteria ®_ Yes<M:No �ot Applicable . c ero s z o►1c�'s -fes' . � SPE re. � . Attac a tional s eats if necessary :Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including; Significant,Coastal Fish and Wildlife.Habitats and wetlands. 'See LWRP Section III:—Policies; Pages_22. through 32 for evaluation criteria. Yes: No 6 Not Applicable Attach additional sheets ifriecessary Policy 7. Protect and improve air.quality in the.Town of.Southold. See LWRP Section III - Policies. Pages 32 through 34 for evaluation criteria. No® Not Applicable F] Yes F-1 Attach additional sheets;if necessary Policy 8. Minimize environmental degradation in .Town of Southold from solid waste and hazardous. substances.and wastes. See LWRP Section III=Policies; Pages 34 through 38 for evaluation criteria. El:Yes Ell 0 ®Not Applicable PUBLIC COAST POLICIES Policy 9. Provide.for public access to; and recreational use of, coastal waters, public lands;' and public resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through.46 for evaluation criteria: YeEl:No®Not Applicable ' Attach additional sheets if necessary WORKING COAST POLICIES . . Policy 10. Protect:Southold'swater-dependent uses and promote siting of new water-dependent'uses in suitable locations See LWRP Section M.- Policies;Pages 47 througb 56 for evaluation criteria. Yes M .No �0 Not Applicable 0 tt Attach additional sheets if'necessary. Policy 11. . Promote.sustainable. use of living_ marine :resources in Ldng Island Sound, the Peconic Estuary and Town waters. See LWRP Section,111—'Policies; Pages 57 through 62 for evaluation criteria. `Yes ❑,No®Not Applicable Attach additional sheets ifnecessary. Policy 12. `Protect;agricultural lands in the.Town of Southold:See.LWRP Section III. Policies;,Pages 62 thr.ou& 65 for:evaluation criteria. ❑Yes ❑ No.FM Not Applicable Attach additional sheets_if necessary, Policy, .13. Promote`appropriate use; and ,development: of energy and mineral''resources. See LWRP Section III--:Policies; Pages 65 through 68 for:evaluation criteria. Yes No 561,Not Applicable n PREPARED BYJ •:�J/�lc .. .... TITLE ..P!'D v ' _CDcvv /., DATE. 12.. 3